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°A SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 0' 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> NITRATE LOADING STUDY REQUIREMENT CHECKLIST <br /> SITE LOCATlQN: f DEPORT DATE: 16,-o' <br /> S = siufficient San Joaquin County Development Title Chapter 9-1105, Section 9-1105.2 <br /> I = Insufficient <br /> S I 1.0 CHEMICAL AND PHYSICAL PROPERTIES OF SOIL <br /> ?ek+'}_g_ <br /> ❑ 1.1 Description of the chemical and physical properties of the soils underlying the site. <br /> ❑ 1.2 Description Ahy mass transport properties of the soils underlying the site with respect to nitrate and/or any other <br /> constituent of concern identified for the project site. <br /> I 2.0 GROUN94AER ANALYSIS <br /> 0 ❑ 2.1 Descriptions of:depth to groundwater,seasonal fluctuations of groundwater depth,directional flow and gradient. <br /> ® ❑ 2.2 Descriptiomiscussion of any existing or potential groundwater contamination issues in the general location of the . <br /> E <br /> site. (.5 <br /> ❑ 2.3 Description of the current use of groundwater at the site and of the future expected use of groundwater as related <br /> to the proposed development project. <br /> t 3.0 SOURCES AND CALCULATED IMPACT OF NITRATE TO GROUNDWATER <br /> gL ❑ 3.1 Description of all current off-site sources of nitrate to soil and groundwater in the general up gradient area and the <br /> contribution of nitrate load from these sources to the project site. <br /> (t-_5 <br /> ❑ 3.2 Description of im of rainfall contribution of nitrate load to the project site. <br /> ��`7 S <br /> ❑ 3.3 Description of I can-est on4tources of nitrate to soil and groundwater and the contribution of nitrate load from <br /> these sources to the project site. �r S <br /> gL ❑ 3.4 Description of all proposed future on-site sources of nitrate to soil and groundwater and the contribution of nitrate <br /> load from hese sources to the project site. <br /> ❑ 3.5 Calcst-' d?ass balance of nitrogen loading considering all potential sources identified. Use of <br /> Hanztc/inn e, or other appropriate formulalmodel,if applicable. <br /> P] E] 3.6 Calculated mact of nitrogen loading from site project to down gradient wells,rivers, lakes etc. <br /> 4.0 DISCUSSIOG; NITRATE LOADING RESULTS RELATIVE TO PROPOSED METHOD <br /> OF WASTEWATER DISPOSAL <br /> ® ❑ 4.1 Discussion of total nitrate impact from proposed project. <br /> Rf ❑ 4.2 Description of the methods proposed to mitigate any known or future impact to soil and groundwater from nitrate, <br /> and/or an,,�v otWr constituent of concern,at and/or around the project site. <br /> 5.0 CONCAIONS AND RECOMMENDATIONS SECTION <br /> ❑ 5.1 The report was signed,dated and stamped by a qualified environmental professional. <br /> ❑ 5.2 The attachments/appendices contain sufficient documentation to support claims made in the report. <br /> Reviewed By: '""""� �"�"' � Reviewed—Dater— <br /> / y <br /> 1 <br /> EHD 26-02 Pagel of 2 surface&sub checklist <br /> 7/1412003 <br />